Tag 0679 · Severity E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-22At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 218 |
|---|---|---|---|
| Estimated occupancy | 96.8% | Latest inspection | 2025-05-22 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 130.0 points
Total nurse staffing
Facility: 4.58 hours/day
RN staffing
Facility: 0.85 hours/day
Staff turnover
Facility: 24.3%
Latest health deficiencies
Facility: 8 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 130.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 4.58 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.85 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 24.3% | 41.7% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-05-22
8 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-06-22Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-06-22Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-22Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-22Tag 0688 · Severity D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-22Tag 0810 · Severity D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-06-22Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-222023-09-23
4 deficiencies
Highest severity: K
Immediate-jeopardy citations: 4
Tag 0600 · Severity K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-11-16Tag 0684 · Severity K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-11-16Tag 0726 · Severity K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-11-16Tag 0578 · Severity J
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-11-162022-02-24
8 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0725 · Severity F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-03-24Tag 0835 · Severity F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2022-03-24Tag 0695 · Severity E
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-24Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-03-24Tag 0561 · Severity D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-03-24Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-03-24Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-24Tag 0732 · Severity C
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-03-24Staffing composition
2.93 hours/dayNurse aide
0.80 hours/dayLPN
0.85 hours/dayRN
- Total staffing
- 4.58 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 4.28 hours/day
- Staff turnover
- 24.3%
- RN turnover
- 29.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.7 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
1.3%betterFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
1.9%betterFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
0.3%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
12.6%worseFlorida: 7.0% · County: 7.4%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Orange County
- Certified beds
- 218
- Average daily residents
- 211
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1984-11-01
- CCN
- 105479
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.92787 |
| Lpn hours | 0.80171 |
| Rn hours | 0.84676 |
| Reported total hours | 4.57634 |
| Weekend total hours | 4.28352 |
| Weekend rn hours | 0.72056 |
| Adjusted total hours | 4.87574 |
| Total turnover percent | 24.3 |
| Rn turnover percent | 29 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$57,145.00Total fines
1Number of fines
1Payment denials
| Date | Type | Amount |
|---|---|---|
| 2023-09-14 | Fine | $57,145.00 |
| 2023-09-14 | Payment Denial | Not reported |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
8Health citations
1Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
4
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| ORLANDO HEALTH INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| MILLER, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| BOUCHER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MILLER, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NAGALAPADI, VENKATESH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROMELUS, FANLEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ORLANDO HEALTH INC | ADP OF THE SNF | NOT APPLICABLE |
| BOUCHER, WILLIAM | ADP OF THE SNF | NOT APPLICABLE |
| MILLER, JOHN | ADP OF THE SNF | NOT APPLICABLE |
| NAGALAPADI, VENKATESH | ADP OF THE SNF | NOT APPLICABLE |
| ROMELUS, FANLEY | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology